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Alison Miller

on 22 March 2015

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Transcript of Spirituality

What is spirituality?
Spirituality is the aspect of humanity that refers to the way individuals seek and express meaning and purpose and they way they experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred.
What spirituality means to Patients:
Relationships with others
Searching for truth/meaning
The foundation of life

How is
Spirituality Expressed?
Spirituality distress
Spiritual distress results from impaired spiritual coping mechanisms and is a result of unmet spiritual needs.

Terminal illness
A disease that cannot be cured, and death can be expected to occur in a short amount of time.
(Caldeira, Carvalho, & Vieira, 2013, p. 80)
Religion vs. Spirituality
What is the family structure?
Ecomaps and genograms
How the family works in different contexts
How do religion and spirituality affect their values and beliefs?
Set of beliefs
Often set forth by an organization
[Untitled diagram of religion and spirituality]. Retrieved November 18, 2014 from http://www.takingcharge.csh.umn.edu/sites/default/files/images/inline/religion%20spirituality%20venn2_0.jpg
(Taylor, 2012, p. 629)
(Fleck, 2011, p. 159)
Patient Spiritual Needs:
Religious prayers / rituals
Divine intervention
Reconnect with religion
To be in a spiritual setting
To be loved, and to love
To talk
To shed guilt
Care Providers
alberta-health-services-logo]. Retrieved on Nov, 17, 2014, from http://www.fortmacconnect.ca/wp-content/uploads/2014/04/alberta-health-services-logo.jpg

Alberta Health Services (2014). Spiritual care services. Retrieved on October 12, 2014, from http://www.albertahealthservices.ca/services.asp?pid=service&rid=1026227

.American Cancer Society (2014). Mind, body, and spirit. Retrieved on October 12, 2014, from http://www.cancer.org/treatment/treatmentsandsideeffects/complementaryandalternativemedicine/mindbodyandspirit/index

Balboni, M., Sullivan, A., Enzinger, A., Epstein-Peterson, Z., Tseng, Y., Mitchell, C., Niska, J., Zollfrank, A., VanderWeele, T., Balboni, T. (2014). Nurse and Physician Barriers to Spiritual Care Provision at the End of Life. Journal of Pain and Symptom Management,48(3), 400-410. http://dx.doi.org/10.1016/j.jpainsymman.2013.09.020

Caldeira, S., Carvalho, E. C., & Vieira, M. (2013). Spiritual Distress—Proposing a New Definition and Defining Characteristics. International journal of nursing knowledge, 24(2), 77-84.

Chang, B. H. et al. (2012). Spiritual Needs and Spiritual Care for Veterans at End of Life and Their Families. American Journal of Hospice & Palliative Medicine, 29(8), p. 610-617. doi: http://library.mtroyal.ca:2075/10.1177/1049909111434139

Fleck, L. M. (2011). Just caring: health care rationing, terminal illness, and the medically least well off. The Journal of Law, Medicine & Ethics, 39(2), 156-171.

GoodTherapy.org (2014). Spirituality. Retrieved October 12, 2014, from http://www.goodtherapy.org/therapy-for-spirituality.html#Spiritual Therapy

Puchalski, C. M. (2001). The role of spirituality in health care. Baylor University Medical Center Proceedings, 14(4): 352–357. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305900/

Ramezani, M., Ahmadi, F., Mohammadi, E., & Kazemnejad, A. (2014). Spiritual care in nursing: a concept analysis. International Nursing Review, 61(2), 211-219. doi:10.1111/inr.12099

Richert, S. (2014). Last Rites. Retrieved November 18, 2014, from http://catholicism.about.com/od/thesacraments/g/Last_Rites.htm

The Spirit of Therapy (2014). Spiritual therapy. Retrieved on Oct 12, 2014, from http://www.thespiritoftherapy.com/counseling-services/spiritual-counseling/

TheMercyChannel, (2013, May 23). Mercy Palliative Care - Spiritual Care [Video file]. Retrieved from

Mere Mortal. (2014). Mending. Retrieved on November 19, 2014 from http://leighsteele.wordpress.com/2007/02/19/mending/

Taylor, C. (2012). Rethinking Hopelessness and the Role of Spiritual Care When Cure Is No Longer an Option. Journal of pain and symptom management, 44(4), 626-630

[Untitled diagram of religion and spirituality]. Retrieved November 18, 2014 from http:// www.takingcharge.csh.umn.edu/sites/default/files/images/inline/religion%20spirituality%20venn2_0.jpg
What is Spiritual Therapy?
"Spiritual therapy strives to connect the body and mind with the soul and creates a sense of oneness between all three so that the individual may live in harmony with the universe" -Goodtherapy.org
Group Associations
Biblical studies
Acts of Worship
Charity/Volunteer Work
Use of plant Medicines
How do you connect your body mind & soul? How does this alter the perceptions of your environment?
Purpose of Spiritual Therapy
Explore problems/conflicts in a non-judgemental environment
Explore client own nature of the conscious & unconscious mind
Perception versus realities of client's environment
Personal decisions, motivations & the consequences behind these choices
Spirituality and Prayer
Holistic Medicine
Faith Healing
Support Groups
Music Therapy
Art Therapy
Native American Healing
[alberta-health-services-logo]. Retrieved on Nov, 17, 2014, from http://www.fortmacconnect.ca/wp-content/uploads/2014/04/alberta-health-services-logo.jpg
communication, religious and cultural awareness, grief and bereavement, compassion fatigue, and spiritual needs assessment
Spiritual Care Services
This service provide spiritual and emotional support for patients, families and staff. This includes:

spiritual assessment and intervention.
facilitating rituals and sacraments (e.g. sweetgrass, sacrament of the sick)
decision-making support and supportive care for patient and family at end-of-life
collaboration with religious leaders at patient and families request
acting as resource to care team on topics such as
Alberta Health Services (2014). Spiritual care services. Retrieved on October 12, 2014, from http://www.albertahealthservices.ca/services.asp?pid=service&rid=1026227
Studies Suggest
Spiritual Practices Improve
Stress control/anxiety
Coping mechanisms
Social Support
Self Efficacy
Holistic world view
better quality of life
feelings of being at peace
less pain/suffering
End of life
Practicing compassionate presence
Listening to patients' fears, hopes, pain, and dreams
Obtaining a spiritual history
Being attentive to all dimensions of patients and their families: body, mind, and spirit
Incorporating spiritual practices as appropriate
Involving chaplains as members of the interdisciplinary health care team
(Puchalski, 2001)
Nurse's Role
Religious Practices
Jehovah Witness
No blood products
Doesn't eat Pork
Eats Kosher
Last Rites (Richert, 2014)
Nurse Barriers
Not enough time - 71%
Lack of a private space - 74%
Does not have adequate training - 60%
Worried about patients being uncomfortable - 45%
(Balboni, Sullivan, Enzinger, Epstein-Peterson, Tseng, Mitchell, Niska, Zollfrank, Vanderweele, Balboni, 2014, p. 406)
Family Spiritual needs:
Generally expressing a spiritual need for their loved one
Religious prayers/rituals
Reconnect with religion
Spending time with their loved one
Guidance on the "next step" when the time comes
Expectations of care providers:
Provide resources for support
Provide spiritual support
Not to judge
Not to show personal biases
Show respect

Hospitals have spiritual rooms
Getting in touch with spiritual services
Finding alternative spiritual interventions. ie. Meditation.
"Your sacred space is where you can find yourself again and again" -Joseph Cambell
Mere Mortal. (2014). Mending. Retrieved on November 19, 2014 from http://leighsteele.wordpress.com/2007/02/19/mending/

“The natural healing force within each of us is the greatest force in getting well.” ~Hippocrates
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